Individual
DR. RYAN JOHN WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2424 CENTURY PL SE, HICKORY, NC 28602-4031
(828) 322-2050
(828) 345-0522
Mailing address
2424 CENTURY PL SE, HICKORY, NC 28602-4031
(828) 322-2050
(828) 345-0522
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2018-00378
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13979212
CAQH
—
05
—
1932542842
—
NC
01
—
19WTP
BCBS
NC
01
—
5817994
ENVOLVE
NC
01
—
A34493
EYEMED
NC
Enumeration date
04/10/2013
Last updated
08/20/2025
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